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New Patient Office Visit, Straightforward

South Carolina rates for HCPCS 99201

A first visit at an office or clinic with a clinician who has not seen you before. It covers a short, uncomplicated visit for a minor problem, with a brief history, a limited examination and simple decision-making. Longer versions of the same visit are used when the problem is more involved.

Rates data updated July 2026.

How much does New Patient Office Visit, Straightforward cost?

$30.20

Typical physician fee. In South Carolina, July 2026.

Insurers have agreed to pay about $30.20 for this service. Most negotiated rates run $30.20 to $51.29.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $30 · 10th to 90th $30 to $105
$50$100$200professional $30

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$104.71
Typical High
$218.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$45.71
Typical High
$53.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20

Where South Carolina sits

The same service costs 7.2 times more in Kentucky than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Carolina· 47th of 47

$30.20

KY $219SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.